Individual
DR. JOHANNA STUART MARY MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6578 NEW YORK STATE ROUTE 12, NORWICH, NY 13815-0000
(607) 334-4703
(607) 334-4703
Mailing address
6578 NEW YORK STATE ROUTE 12, NORWICH, NY 13815-0000
(607) 334-4703
(607) 334-4703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004611-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04611-2
NYS WORKERS COMPENSATION
NY
Enumeration date
10/31/2006
Last updated
07/08/2007
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